My name is Ashraf Mohammad Mobarak From
Mansoura, Egypt I have attended FRCS. (Glasgow. In New Delhi September
2005 and thanks GOD I have passed then thanks my parents for unlimited
encourages and prayers .

Here are what I went through.

Essay questions (2 hours)

1. An 85-year-old man has had advanced primary open angle glaucoma for
30 years. He had a trabeculectomy performed on the left eye many years
ago but the vision has been poor in this eye ever since the operation.
Visual acuity are 6/12 right eye and hand movement left eye despite being
on maximum medications. His IOPs are 28mmHg right eye and 10mmHg left eye.
Lt. His visual fields are grossly restricted in both eyes and he is on
warfarin tablets for atrial fibrillation. Discuss this patient management
and explain the risks to his vision.

2. A 30- years- old general surgical colleague presented to your clinic
complaining of redness and blurring in his right eye for one week. He had
had bilateral laser refractive surgery
4 weeks back and and although his vision had initially been good it
is now reduced to 6/36 right eye & 6/6 left eye unaided. He is busy
and just wants you to give him some drops.
Describe how you will deal with this situation and what possible investigations
and treatment would you recommend.

3. A 10-year old boy is found by his optician to have reduced vision
in his right eye. On examination the vision is 6/36 in this eye. There
is a right relative afferent pupillary defect and fundoscopy shows disc
pallor. Discuss the possible diagnosis & explain how you would manage
the case.

MCQ. 300qs. study MCQs of this website and general medicine from American
Academy of Ophthalmology Series.

MRI of the brain with hyperintense lesions in the paraventricular regions.
Questions on multiple sclerosis, treatment and criteria for the diagnosis
of MS.,

2nd examiner asked the following:

Patient with bilateral ptosis and ophthalmoplegia (Differential diagnosis:
myasthenia gravis and chronic progressive external ophthalmoplegia). How
to differentiate between the two conditions from history and investigations
(family history, muscle biopsy, antibody tests etc). Treatment of myasthenia.

60-year-old patient with NIDDM for 20 years with decrease vision. How to
manage the CMO. Definitions of significant macular oedema and high risk
new vessels and how do you manage the patients. PRP: argon setting and
possible complications.

How to manage a patient with IOP of 26 right eye and 27mm. with normal
field and normal cup/disc ratio. Advantages of treatment versus no treatment.
New technique for detecting nerve fibre layer loss. The importance of corneal
thickness on IOP.

40-year- old female with sudden loss of vision. Give a DD and then
move on to multiple sclerosis.

Types of blepharitis. How to manage marginal keratitis.

I passed the above and got into the clinical session.

Clinical examination: in total 7 cases were examined

1. Non-proliferative diabetic retinopathy with macular oedema using
the indirect. Discussion about macular oedema and indications for treatment.

2. Fundal examination using 90D, the patients had C/D ratio of 0.8 right
eye and 0.9 left eye. Patients already on maximum medications. Questions
on treatment options. Important of target pressure.